Alcohol consumption and breast cancer risk by estrogen receptor status: in a pooled analysis of 20 studies

BACKGROUND: Breast cancer aetiology may differ by estrogen receptor (ER) status. Associations of alcohol and folate intakes with risk of breast cancer defined by ER status were examined in pooled analyses of the primary data from 20 cohorts.

METHODS: During a maximum of 6-18 years of follow-up of 1 089 273 women, 21 624 ER+ and 5113 ER- breast cancers were identified. Study-specific multivariable relative risks (RRs) were calculated using Cox proportional hazards regression models and then combined using a random-effects model.

RESULTS: Alcohol consumption was positively associated with risk of ER+ and ER- breast cancer. The pooled multivariable RRs (95% confidence intervals) comparing >/= 30 g/d with 0 g/day of alcohol consumption were 1.35 (1.23-1.48) for ER+ and 1.28 (1.10-1.49) for ER- breast cancer (Ptrend /= 0.26). Dietary (from foods only) and total folate intakes were not associated with risk of overall, ER+ and ER- breast cancer; pooled multivariable RRs ranged from 0.98 to 1.02 comparing extreme quintiles. Following-up US studies through only the period before mandatory folic acid fortification did not change the results. The alcohol and folate associations did not vary by tumour subtypes defined by progesterone receptor status.

CONCLUSIONS: Alcohol consumption was positively associated with risk of both ER+ and ER- breast cancer, even among women with high folate intake. Folate intake was not associated with breast cancer risk.

Additional Info

  • Authors:

    Jung,S.; Wang,M.; Anderson,K.; Baglietto,L.; Bergkvist,L.; Bernstein,L.; van den Brandt,P.A.; Brinton,L.; Buring,J.E.; Heather,Eliassen A.; Falk,R.; Gapstur,S.M.; Giles,G.G.; Goodman,G.; Hoffman-Bolton,J.; Horn-Ross,P.L.; Inoue,M.; Kolonel,L.N.; Krogh,V.; Lof,M.; Maas,P.; Miller,A.B.; Neuhouser,M.L.; Park,Y.; Robien,K.; Rohan,T.E.; Scarmo,S.; Schouten,L.J.; Sieri,S.; Stevens,V.L.; Tsugane,S.; Visvanathan,K.; Wilkens,L.R.; Wolk,A.; Weiderpass,E.; Willett,W.C.; Zeleniuch-Jacquotte,A.; Zhang,S.M.; Zhang,X.; Ziegler,R.G.; Smith-Warner,S.A.

  • Issue: Int J Epidemiol. 2015 Aug 28. pii: dyv156. [Epub ahead of print]
  • Published Date: 2015/8/28
  • More Information:

    For more information about this abstract, please contact
    This email address is being protected from spambots. You need JavaScript enabled to view it. at the Deutsche Weinakademie GmbH

Read 2122 times


The authors have taken reasonable care in ensuring the accuracy of the information herein at the time of publication and are not responsible for any errors or omissions. Read more on our disclaimer and Privacy Policy.